Evan Gibson, DPT
Physical Therapist in Medford, New Jersey
1669090858- Practice location
- 131 Route 70, Medford, NJ 08055-9501
- Phone
- 856-533-0920
- Fax
- 856-375-1110
- Last updated
- August 7, 2020
Evan Gibson is a Physical Therapist based in Medford, NJ. Evan Gibson practices in Medford, NJ and has the professional credentials of DPT. The NPI Number for Evan Gibson is 1669090858 and holds a License No. PT-6973 (ID). The current practice location address for Evan Gibson is 131 Route 70, Medford, NJ 08055-9501 and can be reached out via phone at 856-533-0920 and via fax at 856-375-1110.
Provider Profile Details
- NPI Number
- 1669090858
- Provider Name
- Evan Gibson
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 131 Route 70, Medford, NJ 08055-9501
- Phone Number
- 856-533-0920
- Fax Number
- 856-375-1110
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 14, 2020
- Last Update Date
- August 7, 2020
- Certification Date
- August 7, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 131 Route 70
Medford, NJ 08055-9501 - City
- Medford
- State
- New Jersey
- Zip
- 08055-9501
- Phone Number
- 856-533-0920
- Fax Number
- 856-375-1110
Provider Business Mailing Address Details
- Address
- 1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258 - City
- Islandia
- State
- NY
- Zip
- 11749-5258
- Phone Number
- 631-580-5200
- Fax Number
- 631-760-8306
License Information
- License Number (1)
- PT-6973
- License State (1)
- ID
- Taxonomy (1)
- Physical Therapist · 225100000X
- License Number (2)
- 40QA01933400
- License State (2)
- NY
- Taxonomy (2)
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapists near Medford, NJ
View all Physical Therapists in Medford →- 3 Dimensional Physical Therapy - Pelvic Health LLCPhysical Therapist · NPI 1275348500
- Alexa R Brown, DPTPhysical Therapist · NPI 1316830367
- Boost Physio And PerformancePhysical Therapist · NPI 1174381370
- Brian Konzelmann, DPTPhysical Therapist · NPI 1184342941
- Bridget Esplund, PT, DPTPhysical Therapist · NPI 1760377675
- Brooke Wasco, PT, DPTPhysical Therapist · NPI 1669256988
Frequently Asked Questions
What is the NPI number of Evan Gibson, DPT?
The NPI number of Evan Gibson, DPT is 1669090858. It was assigned on July 14, 2020 and is currently active in the NPPES registry.
What is the specialty of Evan Gibson, DPT?
Evan Gibson, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in ID under license number PT-6973.
Where does Evan Gibson, DPT practice?
The practice location is 131 Route 70, Medford, NJ 08055-9501. The office can be reached at 856-533-0920 (phone) or 856-375-1110 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669090858 directly on the NPPES registry website.